- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $59.89 / $105.33
| Facility | | $20.07 | $59.89 | $105.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $11.07 / $14.32
| Professional | | $10.53 | $11.07 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $21.56 / $60.00
| Facility | | $11.30 | $21.56 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $12.39 / $30.18
| Professional | | $7.43 | $12.39 | $30.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.61 / $34.40 / $60.15
| Facility | | $21.61 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $11.65 / $14.87
| Professional | | $11.65 | $11.65 | $14.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.66 / $18.39 / $42.33
| Facility | | $8.66 | $18.39 | $42.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $12.85 / $20.79
| Professional | | $7.49 | $12.85 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $17.17 / $44.51
| Professional | | $12.39 | $17.17 | $44.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $15.54 / $68.64
| Facility | | $14.58 | $15.54 | $68.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.56 / $60.00 / $60.00
| Facility | | $21.56 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.31 / $24.54
| Professional | | $5.95 | $8.31 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $13.07 / $20.20
| Facility | | $11.99 | $13.07 | $20.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $12.39 / $14.71
| Professional | | $10.93 | $12.39 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $9.74 / $23.62
| Professional | | $5.95 | $9.74 | $23.62 |